An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting

Katz, Micah G.; Rockne, Wendy Y.; Braga, Ruth; McKellar, Stephen H.; Cochran, Amalia

doi:10.1016/j.amjsurg.2019.05.012

Cited by 9 publications

(7 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Rosenstein, in a study, pointed out a strong relationship between the physician's DBs and the nurses' dissatisfaction, low level of adherence to ethical principles, and an increase in turnover (3). Other significant negative effects of DBs include compromised patient safety or qual-ity of care, dissatisfaction, major errors, such as patients' unanticipated death or permanent disability (8). Due to the importance of the issue, there is a growing number of studies done on the causes, prevalence, and effects of DBs.…”

Section: Introductionmentioning

confidence: 99%

The Prevalence and Outcome of Disruptive Behaviors in Nurses and Physicians: A Descriptive Study in Iranian Health Care Context

Saghaei

Ahmadzadeh

Haghighat

2020

Iran J Psychiatry Behav Sci

View full text Add to dashboard Cite

Background: Disruptive behavior is any inappropriate behavior, verbal-physical abuse, and threats that a therapist performs unprofessionally that leads to a significant negative impact on clinical outcomes of patient care and staff collaboration. Objectives: This study was done to investigate the prevalence of disruptive behavior among nurses and physicians and its effects on the health care context. Methods: In this descriptive cross-sectional study, 248 medical staff in teaching medical centers affiliated with the Isfahan University of Medical Sciences participated. Data were collected employing a questionnaire with convenience sampling and analyzed by SPSS software using descriptive statistics. Results: Data revealed that 85.5% of the participants had experience disruptive behaviors from nurses and physicians. Also, 74 participants stated that the highest prevalence of disruptive behaviors by nurses and physicians were observed weekly, and 87% believed that these behaviors negatively influenced the treatment process. The probability of emerging problems, dangerous events, medical errors, the impaired patients’ safety, and a decrease in treatment quality sometimes occurs, though it often leads to dissatisfaction of the physician, nurse, and patient. In addition, 71% of the participants stated that there is no behavioral statute, and 89.1% believed that even if such a statute exists, there is no executive support. Conclusions: Due to the negative effects of disruptive behaviors and the prevalence of such behaviors among physicians and nurses, it is recommended to have a statute and management system that guarantees its implementation and train all the staff.

show abstract

Section: Introductionmentioning

confidence: 99%

The Prevalence and Outcome of Disruptive Behaviors in Nurses and Physicians: A Descriptive Study in Iranian Health Care Context

Saghaei

Ahmadzadeh

Haghighat

2020

Iran J Psychiatry Behav Sci

View full text Add to dashboard Cite

show abstract

“…A2 Jacobs e Wille/2012/Surgical Neurology International (11) Consequences and potential problems of operating room outbursts and temper tantrum by surgeons Avaliar e abordar a discriminação baseada em gênero na formação médica moderna do departamento de cirurgia. 3 A3 Katz et al/2020/American Journal of Surgery/ 2020 (12) An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting Examinar a prevalência e os preditores de exposição percebida ao comportamento destrutivo em uma amostra multinacional de clínicos de salas de cirurgia.…”

Section: Resultsunclassified

Comportamentos Destrutivos Entre Profissionais Em Centro Cirúrgico: Revisão Integrativa Da Literatura

Sabino¹,

Teixeira²,

Oliveira³

et al. 2022

Enfermagem Em Foco

View full text Add to dashboard Cite

Identificar as evidências sobre comportamentos destrutivos manifestados ou presenciados por profissionais em centro cirúrgico. Métodos: Revisão integrativa da literatura, realizada nas bases de dados Literatura Latino-Americana em Ciências da Saúde, Medical Literature Analysis and Retrieval System Online e Base de Dados da Enfermagem, em novembro e dezembro de 2019, aos pares, sem recorte temporal, em português, inglês e espanhol. Na busca, foram utilizados termos e descritores, combinados entre si por meio dos operadores booleanos AND e OR. Resultados: Foram localizados 230 artigos. Após eliminação de duplicidades, aplicação dos critérios de inclusão e exclusão, e leitura, obteve-se amostra de 10. Da análise dos estudos, emergiram três categorias temáticas: Categoria 1 -Comportamentos destrutivos; Categoria 2 -Repercussões dos comportamentos destrutivos; Categoria 3 -Dispositivos para minimizar ambientes hostis. Conclusão: os comportamentos destrutivos têm repercussões organizacionais, laborais e pessoais, caracterizando um desrespeito sistêmico que causa danos tanto aos profissionais como aos pacientes.

show abstract

“…At present, the studies on this subject are mainly cross-sectional, through the use of a questionnaire, and are mainly focused on four broad dimensions that are associated with the safety of the patient and the quality of care, considering the possible adverse effects experienced during the process of care derived from the different disruptive behaviors. These dimensions are: Motives and prevalence of disruptive behavior in the health context where the individual factors, the environmental factors, the organizational factors, and the social factors, are relevant, with important correlations observed between abuse and gender, physical abuse and position, and physical abuse and level of education that have generated at least one observed disruptive behavior [ 30 , 32 , 33 ]; places and moments in which these disruptive behaviors are produced; in this dimension, we highlight the recording of disruptive behavior at emergency services, surgery rooms, and ICU, considered as high complexity due to the variability of the processes and level of care, linked with the physical and emotional workload [ 20 , 23 ]; the types and element characteristics of disruptive behavior: the studies underlined the aspects associated with “intimidation” and “hostility” related with workload and teamwork [ 26 , 34 ]; the strategies and protocols: in most cases, the studies indicated the implementation of a proactive culture by the health professionals in the development of competences in patient safety, team work, and the making of decisions, and by the health institutions, for providing a functional and structural organization for the development of this culture, to promote human qualities at work [ 8 , 28 , 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

Disruptive Behavior at Hospitals and Factors Associated to Safer Care: A Systematic Review

et al. 2021

View full text Add to dashboard Cite

Disruptive behavior creates a dysfunctional culture that has a negative impact on work relations and influences the quality of care and safety of the patient. The objective of the present work is to provide the best methodological quality scientific evidence available on disruptive behavior at a hospital, the aspect associated with the safety of the patient, and its impact on quality of care. For this, we included studies that addressed the prevalence of disruptive behaviors observed in the area of hospital health and its professionals. The selection, eligibility, data extraction and evaluation of the risk of bias stages were conducted by two researchers, and any discrepancies were solved by a third researcher. The data presented show that disruptive behaviors are frequently observed in the daily life of health professionals, and compromise the quality of care, the safety of the patient, and can lead to adverse effects. The results presented indicate that the appearance of disruptive behaviors compromises the quality of care, the safety of the patient, and the appearance of adverse effects, and can also affect the physical and mental health of the health professionals. PROSPERO registration number: CRD42021248798.

show abstract

An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting

Cited by 9 publications

References 13 publications

The Prevalence and Outcome of Disruptive Behaviors in Nurses and Physicians: A Descriptive Study in Iranian Health Care Context

The Prevalence and Outcome of Disruptive Behaviors in Nurses and Physicians: A Descriptive Study in Iranian Health Care Context

Comportamentos Destrutivos Entre Profissionais Em Centro Cirúrgico: Revisão Integrativa Da Literatura

Disruptive Behavior at Hospitals and Factors Associated to Safer Care: A Systematic Review

Contact Info

Product

Resources

About